Effect of Open Chain Versus Closed Chain Segmental Control Exercises on CSA of Lumbar Multifidus Muscle in Chronic MLBP

Effect of Open Chain Versus Closed Chain Segmental Control Exercises on Cross Sectional Area of Lumbar Multifidus Muscle in Chronic Mechanical Low Back Pain

To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity, lumbar ROM, and CSA of multifidus muscle.

• To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on pain intensity.
• To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber ROM.
• To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on CSA of multifidus muscle.
• To investigate the effect of adding open versus closed chain segmental control exercises to conventional treatment program on lumber function.

Inclusion Criteria:

1. Patients with chronic low back pain from both genders their age will be ranged and divided into three groups from 25-55 years.
2. Participants with chronic low back pain lasting for more than 6 Months.
3. A patient who can follow the command.
4. A patient who can do exercise.

Exclusion Criteria:

1. Low back pain patients with a history of severe neurological disease or orthopedic disease.
2. History of Psychological Disorder.
3. Unhealthy Patient.
4. Pregnant women.
5. Patient with a spinal tumor.
6. History of any operation related to spine. Ex. Vertebral fracture or dislocation.